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SOUTHERN MISSOURI FAMILY MEDICINE, LLC
NPI 1154584308
Clinic/Center - Primary Care in West Plains, MO

Active since July 08, 2008
1625 GIBSON ST, WEST PLAINS, MO 65775(417) 256-3717(417) 256-3738 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Missouri Family Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN MISSOURI FAMILY MEDICINE, LLC (NPI 1154584308) is a healthcare organization registered as a primary care in West Plains, Missouri and active in the NPI registry since July 2008. The organization lists James E Thompson, Owner, as its authorized official.

NPPES Registry Identity

NPI1154584308
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHERN MISSOURI FAMILY MEDICINE, LLC
Location Address1625 GIBSON STWest Plains, MO 65775-1873
Mailing Address1402 N Kentucky AveWest Plains, MO 65775-1822 · (417) 256-3717 · Fax (417) 256-3738
Phone(417) 256-3717
Fax(417) 256-3738
Organization SubpartNo
Authorized OfficialJames E ThompsonOwner · (417) 256-3717
Enumeration DateJuly 8, 2008
Last NPPES UpdateMarch 17, 2010
✔ NPI 1154584308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MO · R5G97
1625 GIBSON ST, West Plains, MO 65775
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Other Identifiers 3

Medicaid202379046MO
Medicare UPINA29001
Medicare PIN000090739

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY ELLIOTT
Physical Therapist
1625 GIBSON ST
WEST PLAINS, MO 65775
Howell County (417) 255-9577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Missouri Family Medicine, LLC's NPI number?

The NPI number for Southern Missouri Family Medicine, LLC is 1154584308. It was assigned to this organization in the NPPES registry on July 8, 2008.

Where is Southern Missouri Family Medicine, LLC located?

Southern Missouri Family Medicine, LLC is located at 1625 Gibson St, West Plains, MO 65775. The listed phone number is (417) 256-3717.

What is Southern Missouri Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Southern Missouri Family Medicine, LLC was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.